Traumatic acute brain herniation through the ear in a child

Concealed compound fracture

Rajeev Kariyattil, Unnikrishnan Muthukuttiparambil

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A seven-year-old girl presented to Sultan Qaboos University Hospital, Oman, with a history of having been hit by a motor vehicle. After this, she had right-sided cerebrospinal fluid otorrhoea, and a week later, brain matter extruded through the right ear. A computed tomography scan of the brain demonstrated a tegmen fracture communicating with the external auditory canal. There was no hearing or facial nerve impairment and an otoscopic examination showed an intact tympanic membrane. She underwent a transcranial repair of the middle cranial fossa base, which revealed a wide dural and bony defect of the tegmen with herniation of the temporal lobe. Repair was made with an intradural patch of artificial dura. The rarity of this type of presentation of temporal bone fracture and its management are discussed.

Original languageEnglish
Pages (from-to)352-356
Number of pages5
JournalSultan Qaboos University Medical Journal
Volume12
Issue number3
Publication statusPublished - 2012

Fingerprint

Open Fractures
Ear
Cerebrospinal Fluid Otorrhea
Middle Cranial Fossa
Oman
Tympanic Membrane
Ear Canal
Temporal Bone
Bone Fractures
Skull Base
Facial Nerve
Brain
Motor Vehicles
Temporal Lobe
Hearing
Tomography
Sultan

Keywords

  • Basilar
  • Case report
  • Encephalocele
  • Oman
  • Pediatric
  • Skull fracture

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Traumatic acute brain herniation through the ear in a child : Concealed compound fracture. / Kariyattil, Rajeev; Muthukuttiparambil, Unnikrishnan.

In: Sultan Qaboos University Medical Journal, Vol. 12, No. 3, 2012, p. 352-356.

Research output: Contribution to journalArticle

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